| NPI | 1366804296 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NV SP-143) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 6540) |
| 235Z00000X Speech-Language Pathologist, (Licence: TX 104216) | |
| 235Z00000X Speech-Language Pathologist, (Licence: VA 2202006168) | |
| Enumeration Date | 2016-03-21 |
| Last Update Date | 2016-03-21 |